AMH levels can help determine your fertility health in many ways and an AMH test is a routine and important part of predictive fertility testing. It is important to demystify the concept of AMH first to fully understand its influence on IVF and why AMH is a useful parameter that should be measured before performing an IVF treatment and its role in fertility. So, let’s get started!
What is (Anti- Mullerian Hormone) AMH Test?
With the increasing number of young women having irregular menstruation, ovary dysfunction, the AMH test in India will be a great help in planning their families. AMH (Anti -Mullerian Hormone) is a simple test that can measure a woman’s egg reserve by a blood test, it requires 3 ml of blood and is one aspect of fertility tests. The test helps you seek out treatment, and plan a future ahead, giving you hope. AMH is a hormone produced by cells in the follicles that contain an egg in a woman’s ovaries.
AMH testing can help show what your chances are of conceiving a baby, also may be used to help diagnose menstrual disorders or to monitor the health of women with certain types of ovarian cancer. If you are not able to conceive and tired of multiple failures of IVF treatment in India, then you must undergo AMH tests. AMH level can help foresee your response to stimulant medications during the IVF process.
Note: It is quite normal for a woman’s AMH levels to decrease as she gets older. It starts decreasing after the age of 35.
AMH value isn’t always telling: Many fertility experts have already observed that AMH alone doesn’t dictate a woman’s reproductive potential. So, don’t worry if your AMH levels are low, spontaneous pregnancy is still possible and there are many treatment options available to you.
When to take the AMH test?
An AMH test can be done at any time in the menstrual cycle, as your AMH levels are stable throughout the cycle. However, being on hormonal contraception can reduce AMH results slightly.
AMH Level & IVF Treatment
A good AMH level indicates that you have enough eggs for helping you become pregnant and high AMH levels are useful in IVF treatment because the high levels mean the production of sufficient follicles for the process of IVF and it also indicates that the patient will have a good response to fertility medication.
The AMH test is helpful when you want to understand your current chances of getting pregnant and it is also done to assist the reproduction procedures like In-Vitro Fertilization (IVF). The test is essential to know the availability of eggs for IVF treatment options, especially for women over the age of 35 or 40.
AMH Test Cost in Mumbai
AMH blood test cost in Mumbai – Starting from 1,760
The AMH test in India is inexpensive; the blood test will cost you around Rs.1500-3000, it all depends from city to city, and also the fertility clinic you consult as well.
AMH Blood Level
- High (often PCOS) Over 3.0 ng/ml
- AMH Normal Range Over 1.0 ng/ml
- Low Normal Range 7 – 0.9 ng/ml
- Low AMH Level 3 – 0.6 ng/ml
- Very Low Less than 0.3 ng/ml
Note: Don’t attempt to make any conclusions on your AMH levels yourself, leave it to your specialist.
An AMH level over3.0 ng/ml is usually the indicator of PCOS (Polycystic ovary syndrome). It means that there are lots of growing follicles in the ovaries. And this potentially puts you at risk of OHSS (Ovarian Hyperstimulation Syndrome), if you are planning to go for ART (assisted reproductive treatment).
An AMH value of 21.98 pmol/I or greater can be taken as satisfactory. Anywhere between zero and 0.6 ng/ml will need IVF or the FSH stimulation. This score might indicate to your doctor that you have a low ovarian reserve. With this test result, you’ll possibly receive further treatment to increase your AMH levels.
What is a good AMH level for IVF in India?
A good AMH level for IVF is anything within the range of normal for a woman under thirty-eight. AMH levels probably do not reflect egg quality, but having more eggs at the IVF egg retrieval provides an opportunity for a greater number of eggs to fertilize and develop into embryos. Keep in mind that there are many factors that shape the exact and normal range of AMH for IVF and some studies demonstrate the normal level of AMH is 1.0 to 4.0 ng/ml.
Can I get pregnant with a low AMH level?
Yes, you can still have a good quality egg and a realistic chance for a healthy pregnancy.
Note: Low AMH does not always mean, you demand IVF.
“If your ovarian cells have low levels of AMH, then your body will respond to the IVF treatment poorly”.
Causes of Low AMH
There are various elements that might be contributing to your low AMH. Here are some of them:
- Firstly, age
- Secondly, the history of hormonal disorders
- Thirdly, stress
- Fourthly, vitamin deficiency
- Fifthly, improper nutrition
- Sixthly, medical conditions related to the reproductive system
- Seventhly, Endometriosis
- Genetic factor
- Environmental Causes
Note: Low AMH level suggests that women’s ovarian reserve is quickly declining and they must instantly seek fertility treatment if they are trying to get pregnant.
Symptoms of Low AMH
Some women have absolutely no symptoms about it and it is really hard to self-diagnose if you have been having low AMH levels. But, as per the experts, irregular periods or no period for a long time can indicate low AMH levels. This is when the need for a blood test arises.
Treatments for Low AMH
- Firstly, yoga
- Secondly, acupuncture
- Thirdly, fertility massage
- Fourthly, boost your Vitamin levels through a natural diet
Note: Studies have shown that women with not enough vitamin D were more likely to face Low AMH.
What causes poor egg quality?
Poor egg quality is caused by diminished ovarian reserve and it is one of the most common causes of infertility, especially in women over 35. Women with Low AMH levels have lower egg quantity (ovarian reserve).
Note: IVF is a potent option for women with poor ovarian reserves as IVF can make optimal usage of few eggs that are left in the ovary. But if there are no or very few eggs, the result may not be on the positive side.
Causes of High AMH
- Firstly, a weakened immune system
- Secondly, bad Dietary Choices
- Thirdly, hormonal imbalance
A higher-than-normal AMH level can also indicate the initial onset of PCOS- a hormonal disorder often linked to fertility problems.
Note: AMH level below 25% is considered as lowest and AMH levels above 75% are considered as highest.
Test results cannot be 100% accurate. The results have to be interpreted by a proficient doctor in the correct clinical context for the best outcomes.
What does AMH Testing reveal?
AMH testing/ Anti- Mullerian hormone is produced by granulosa cells within the ovary and the test helps to determine the best strategy for IVF treatment. It is performed as a part of a complete fertility evaluation and is an important part of the infertility testing workup. AMH levels reveal how many very immature eggs are on deck to start the journey towards maturation.
AMH levels can help you understand how many eggs may be extracted during egg retrieval for egg freezing and IVF, also it can let you know whether you are at risk for primary ovarian insufficiency (POI) or not. POI is the loss of ovarian function before age 40 and it is marked by extremely low or undetectable AMH levels.